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General NPI Number Information
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NPI Number | 1669335303
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Entity Type | Individual
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Provider Name | KELSEY HOGART
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 820 3RD AVE
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City | LAUREL
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State | MT
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Zip | 59044-2023
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Country | US
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Telephone | 406-628-8251
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Fax |
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Provider Business Mailing Address
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Address Line | 320 YELLOWSTONE AVE
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City | LAUREL
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State | MT
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Zip | 59044-3243
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Country | US
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Telephone | 406-491-4625
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OTP-OT-LIC-5457
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License Number State | MT
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